JENNIFER FARD - NPI 1255633517 - Marriage & Family Therapist in Laguna Hills, CA

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

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About Jennifer Fard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER FARD (NPI 1255633517) is an individual marriage & family therapist in Laguna Hills, California, licensed in California (104661) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255633517

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJENNIFER FARD

Location Address23041 AVENIDA DE LA CARLOTALaguna Hills, CA 92653-1511

Mailing Address1077 Pacific Coast Hwy # 191Seal Beach, CA 90740-6214 · (949) 229-1463

Phone(949) 229-1463

Sole ProprietorYes

Enumeration DateNovember 18, 2010

Last NPPES UpdateJanuary 5, 2022

NPPES CertifiedJanuary 1, 2022

✔ NPI 1255633517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 104661

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

23041 AVENIDA DE LA CARLOTA, Laguna Hills, CA 92653

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Fard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATE PAVLAK MFT

Marriage & Family Therapist